Active NPI
Matthew Thomas Ferguson, M.S.P.T.
- Physical Therapist
- Westminster, CO
National Provider Identifier
1912025172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4748
- Practice address
- 10850 Dover St
Ste 600
Westminster, CO 80021-2652 - Phone
- (720) 434-9119
- NPI assigned
- Mar 27, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4748 | CO | Primary |
Addresses
Primary practice location
10850 Dover St
Ste 600
Westminster, CO 80021-2652
Mailing address
10850 Dover St
Ste 600
Westminster, CO 80021-2652
Phone (720) 434-9119
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4748 | Other | CO | PHYSICAL THERAPIST LICENS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4748 | CO | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470614400000",
"number": "1912025172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10850 DOVER ST",
"address_2": "STE 600",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "800212652",
"telephone_number": "720-434-9119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10850 DOVER ST",
"address_2": "STE 600",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "800212652",
"telephone_number": "720-434-9119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERGUSON",
"first_name": "MATTHEW",
"middle_name": "THOMAS",
"name_prefix": "Mr.",
"credential": "M.S.P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-27",
"last_updated": "2016-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "4748",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPIST LICENS",
"identifier": "4748",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Westminster, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.